Hello again Julie and all the lovely ladies here - I saw the meno specialist on Friday and she was sypmathetic and hopeful that some adjustment of the HRT could help. So ...a) did some blood tests to determine hormone levels now b) suggested change to Climesse oral no-bleed HRT in case I am not absorbing the patch well and c) ordered a pelvic scan ( on Friday) as a precaution to check all is well and see what ovaries are doing and the endometrium thickness. See her again in 6 weeks - not sure if the new HRT will do anything for the sleep, but I live in hopes. Anyone know anything about Climesse? Its 2mg of estradiol and .75 og norethisterone ( progesterone) I think. My sleep is a tiny bit better thanks to the amitryptiline I suspect making me less anxious about it - it still doesn't make me drowsy and I can't fall asleep for ages, but I do eventually sleep in the small hours and it s a bit deeper and less fragmented now. So I feel like if the new hRT could help a bit it would be wonderful. Hope you well and sleeping! love Sue